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What We Do: Issue refunds per insurance and patient requests on credit balance
accounts; process Undistributed Revenue Report.
The refunds team works to resolve undistributed balances on the accounts. The
departments work a monthly report of undistributed co-pays and forwards the report
back indicating where refunds are necessary. The refunds team processes hundreds
of refunds on a monthly basis to patients and insurance companies.
The refunds team also reviews hundreds of requests on a monthly basis where insurance
companies are requesting refunds, yet no credit balance exists. The staff must determine
if the request is appropriate and timely according to our contract. Almost half
of the requests are rejected because the recovery companies hired by the insurance
companies do not have access to our contract terms. In many instances the accounts
just need to be corrected and payments may need to be redistributed so each line
item has the appropriate payments and contractual.
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